These hands-on models will prepare you for a variety of implant cases—without having to get real patients involved until you’re ready.
In the first installment of this two-part series, I discussed the value of estimating root length and offered insight into some unrecognized challenges that may affect case selection. But once cases are selected, the skill of establishing radiographic estimates continues to carry forward to clinical treatment.
Implants are replacements for teeth—they are not teeth. This might sound obvious, but it’s a simple reality implant surgeons must remember, as there are key differences between natural teeth and implants that must be observed. This simple yet complex arrangement is very strong, and is nourished by an abundant blood supply coming from the periodontal ligament and periosteum.
Three key rules to consider for whole face beautification and optimal long-term results. Despite being a cosmetic surgeon focused on injectable based treatments, I have come to appreciate the importance of a beautiful smile and the role it plays in facial esthetics. The lips are an important esthetic subunit in repose, but the smile in animation is equally, if not more, important.
Using digital radiography to estimate pre-operative root lengths can help clinicians better evaluate endodontic cases. An estimate is nothing more than a prediction. It is an approximation or projection of something based on experience and/or available information, with the understanding that all the facts remain uncertain. Depending on the content, an estimate can be leveraged to address multiple goals. In the context of endodontics, that leverage comes in the form of digital radiography.
Doctors are starting to prescribe these drugs for anticoagulation instead of Coumadin. Here’s what you need to know about them. Much like for patients taking Coumadin (Warfarin), these drugs can be continued for simple dental procedures. In instances where complicated dental procedures are planned, it’s critical to consult with the patient’s physician to discuss the feasibility of temporarily withholding these drugs to avoid excessive bleeding.
This minimally invasive treatment isn’t used often, but it can be a great affordable option for patients experiencing wear. The Dahl Principle is a technique taught in the UK but not widely understood around the world. There certainly are studies and research,1 but arguably there is not much in the way of protocols or how or even when to use it.
How to incorporate this three-step procedure into your practice. The possibility of rehabilitating an arch with a fixed prosthesis with predictable long-term success has been an important goal in dentistry.2 However, the rehabilitation of a completely edentulous maxilla is often associated with anatomical limitations from decreased bone volume, especially in the premolar and molar regions. Bone atrophy progresses rapidly during the first year after tooth loss and continues thereafter. It is affected by long-term use of removable prostheses and relative maxillary sinus pneumatization.3
How looking at the whole face opens up new opportunities for dental practices and leads to better patient outcomes. Dentists have been dabbling in injectable esthetic procedures for more than a decade now. We have been talking about facially driven planning for smile enhancement for longer. But are we really looking at the whole face and its animated expressions before we treat our patients? Are plastic surgeons and dermatologists even looking at the teeth and smile before enhancing the face? Could the deeper integration of the two esthetic worlds bring us closer than ever to a truly whole face assessment and a set of solutions provided by a single practice?
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